Organization
GILES SURGICAL ASSISTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON M GILES CSFA (MANAGING MEMBER)
(432) 230-5412
Entity
Organization
Contact information
Practice address
117 HIGHWAY 332 W STE J, SUITE 5 BOX 222, LAKE JACKSON, TX 77566-4022
(432) 230-5412
Mailing address
117 HIGHWAY 332 W STE J, SUITE 5 BOX 222, LAKE JACKSON, TX 77566-4022
(432) 230-5412
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
09/28/2016
Last updated
09/29/2016
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